Alivia Analytics’ Post

#EmployeeSpotlight | Douglas Fezenko -- Doug joined Alivia Analytics in April 2023 as VP of Sales. He has deep roots in #healthcare as a strategist and leader for payers and health plans with an accomplished background in account management and operations with Change Healthcare, EmblemHealth, and Horizon Blue Cross Blue Shield of New Jersey. OUTSIDE OF WORK: Doug grew up in northern New Jersey where he and his wife are raising their son (college) and daughter (high school). He enjoys traveling, camping, and sporting events. He is a graduate of Kutztown University with a master's degree from Rider University.

At the Medicaid Enterprise Systems Conference (MESC), the Alivia team will be discussing its claims technology and analytics for #healthcare payers — Data & IT Services, Fraud Detection, and Payment / Program Integrity. Visit our event page for more details: https://lnkd.in/eTZicv_p  See you at #MESC2024 in Louisville! www.mesconference.org #savings #recoveries #efficiencies #claimssystemmodernization #deidentification #EDW #dataconversions #FWA #casemanagement #responsibleAI #SIUservices #claimsediting #VBC

Alivia Analytics welcomes Holly Tyler as Senior Financial Analyst. More about Holly… Prior to joining Alivia, she held positions such as Manager of Transaction Advisor Services - Healthcare Practice (CFGI) and Team Leader for Equity Research (Bloomberg). Holly grew up in Vermont and is an avid skier and outdoors enthusiast. She is a graduate of the University of Richmond and resides in the Philadelphia area. #welcometotheteam Alivia transforms healthcare payers with superior technology and analytics for #frauddetection, #paymentintegrity, and #dataandITservices

SourcEdge, An Alivia Analytics Company, was Cognizant’s First #Healthcare Certified Consulting Partner. During this 4-day event, SourcEdge and Alivia will discuss its combined products and services for commercial and government health plans. This will include a Session and Facets Case Study about masking PHI using #Deidentification for #Cybersecurity. Here are the details… SourcEdge’s specialized IT and connectivity expertise plus Cognizant’s TriZetto Healthcare Products (Facets / QNXT) modernizes outdated claims systems to improve insurance payments, productivity, value-based care, and integration with other applications. Alivia’s #AI powered Healthcare Payer Analytics Platform and tech-enabled services help health plans address growing #PaymentIntegrity challenges of #FraudWasteAbuse #FWA plaguing the healthcare system. Analytics modules also include #ClaimsEditing and #VBCmodeling. These solutions demonstrate the efficiency of modern #healthcaretechnology and digital transformation. SESSION & CASE STUDY: Facets & PHI DeIdentification For Your Non-Production Environments, Where Data is Exposed Presented by: Stephen Sideris, Data security expert and VP of Health Plan Services. Formerly SVP at Visiant Health. Brad Hutson, Cyber security expert and Chief of Cyber R&D for the Cyber Security Forum Initiative. Learn More: https://lnkd.in/eVy-3Hiz See you in Orlando! #CognizantHSC

#HPRIEast. Discuss the latest #PaymentIntegrity solutions across our Payer Analytics Platform and Tech-Enabled Services. Visit our event page: https://lnkd.in/e2svFUs3 See you in Boston! Booth 4 Healthcare Payment & Revenue Integrity Series #savings #recoveries #efficiencies #FWA #improperpayments #casemanagement #valuebasedcare #frauddetection #fraudprevention #SIUservices #AI #healthcare

Recent data breaches highlight the increased and constant attack that #healthcare is under. Let us share our data management solution and success stories for masking PHI, including X12 EDI, using #deidentification to ensure patient privacy and maintain regulatory compliance. Hear from our experts in a productive discovery call: Brad Hutson -- Professional “white hat” hacker and Chief of Cyber R&D for the #CyberSecurity Forum Initiative. Stephen Sideris -- Data security expert and Vice President of #HealthPlan Services. Formerly SVP at Visiant Health. Formerly SourcEdge, acquired by Alivia in February 2024. We have unique expertise in all claims systems – AMISYS, Cognizant TriZetto Facets / QNXT, HealthEdge / HealthRules, Conduent HSP, PowerMHS / PowerSTEPP. [Learn More. Schedule Meeting.] https://lnkd.in/eyhxNp4F #PHIsecurity #paymentdata #healthtechnology #dataanalytics

Prevent and recover healthcare fraud, waste, and abuse (FWA) and incorrect payments. #FWAFinder is a key component of Alivia’s Analytics Platform. It leverages advanced AI and Machine Learning technologies to go beyond post-payment recovery and empower users to isolate FWA cases before payment, putting them one step ahead of the problem. Real-Time Analytics Intuitive Dashboards AI-Powered Detection #GenerativeAI Query Industry-Leading Speed and Accuracy Seamless Integration Learn More: https://lnkd.in/eYGADSgR #Healthcare #PaymentIntegrity

HITRUST Certification furthers Alivia’s commitment to deliver rapid transformation to the #healthcare industry while maintaining data security and equity.   Learn More: https://lnkd.in/gzurWSf7   #HITRUST #HealthTechnology #ClaimsManagement #GenerativeAI #PaymentIntegrity #FraudDetection #CostContainment #CaseManagement #DataAnalytics 

Seamlessly manage fraud cases in our Payment Integrity Platform, or yours. Alivia #CaseManager ties it all together with our pre-pay #ClaimsEditing modules, post-pay #FWAFinder, and existing workflows, providing a comprehensive solution.   More Cases, Faster Real-Time Analytics Intuitive Dashboards Seamless Integration Very Easy to Use   Learn More: https://lnkd.in/eNE8nbfG #Healthcare #PaymentIntegrity #GenerativeAI